Psychiatry of the Elderly: A Consensus Statement

This document is a consensus statement on Psychiatry of the Elderly jointly produced by WHO and the Geriatric Psychiatry Section of the World Psychiatric Association, with the collaboration of several pertinent NGOs and the participation of experts from countries in several WHO regions.     

Undecidability,incompleteness and Arnol'd problems

We present some recent technical results of us on the incompleteness of classical analysis and then discuss our work on the Arnol'd decision problems for the stability of fixed points of dynamical systems.Partially supported by FAPESP and CNP_q (Brazil, Philosophy Section).     

Influence of life event stress on physical illness: substantive effects or methodological flaws?

This study tests the hypothesis that the reported relationship between life event stress and physical illness is primarily a function of criterion and other content contamination in the stress measure. In particular, conventional life event measures include events related to physical health, which overlap with the criterion; events related to neuroticism, which influences the criterion; and events that are vague or subjective and could be affected by individual differences in psychological distress, response sets, and retrospective bias. In this study 386 adult males and females completed standard measures of life events and physical illness. Illness was significantly related to event subscales containing, respectively, health-related events, neuroticism-related events, and subjective events, but not to an "uncontaminated" event subscale. These results support the hypothesis of contamination and suggest that alternative approaches to the conceptualization and measurement of stress may need to be developed.     

Declines in divergent thinking with age: cross-sectional, longitudinal, and cross-sequential analyses

Six measures of divergent thinking were administered to 825 men ranging in age from 17 to 101 over the period from 1959 to 1972; repeat administrations were given to a subset of 278 men after a 6-year interval. Cross-sectional analyses showed curvilinear trends, with an increase in scores for men under 40 and a decline thereafter. Repeated measures analyses on subjects initially aged 33 to 74 generally replicated this finding, whereas cross-sequential analyses suggested a decline for all cohorts tested at a later time. Additional analyses suggested that not all of the decline could be attributed to reduced speed of response production. These longitudinal findings confirm earlier cross-sectional reports of decline in divergent thinking abilities with age.     

Validation of the five-factor model of personality across instruments and observers

Two data sources--self-reports and peer ratings--and two instruments--adjective factors and questionnaire scales--were used to assess the five-factor model of personality. As in a previous study of self-reports (McCrae & Costa, 1985b), adjective factors of neuroticism, extraversion, openness to experience, agreeableness-antagonism, and conscientiousness-undirectedness were identified in an analysis of 738 peer ratings of 275 adult subjects. Intraclass correlations among raters, ranging from .30 to .65, and correlations between mean peer ratings and self-reports, from .25 to .62, showed substantial cross-observer agreement on all five adjective factors. Similar results were seen in analyses of scales from the NEO Personality Inventory. Items from the adjective factors were used as guides in a discussion of the nature of the five factors. These data reinforce recent appeals for the adoption of the five-factor model in personality research and assessment.     

Recalled Parent-Child Relations and Adult Personality

Adult children's ratings of their parents' behaviors on the Parent-Child Relation Questionnaire II were correlated with self-reports and peer ratings of personality on the NEO Personality Inventory in a sample of 619 men and women aged 21 to 96. Individuals who reported that their parents were loving scored lower in neuroticism and higher in extraversion, openness to experience, agreeableness, and conscientiousness. Individuals, especially men, who described their parents as casual rather than demanding were lower in extraversion and conscientiousness, but higher in openness. Parental attention (i.e., spoiling) was associated with extraversion and low agreeableness. Several of these correlations were replicated when peer ratings of personality were examined. However, all the associations were modest, and several alternative explanations suggest that the correlations may exaggerate the influence of these child-rearing practices on adult personality. Parental behaviors and attitudes seem to have less effect on broad dimensions of adult personality than traditionally supposed.     

Comprehension and production of body part labels in 2‐ to 3‐year‐old children

This study examined which body part labels children could (i) produce when the experimenter touched different locations on her own body, asking each time ‘What's this?’ and (ii) comprehend by touching the correct locations on their own bodies in response to the experimenter asking ‘Where's the [body‐part label]?’. Seventeen children aged between 26 and 41 months, tested in a repeated measures procedure, were presented with 50 different body part stimuli in 200 test trials per child. Overall, the children produced fewer body part labels than they could comprehend. The accuracy of children's responses depended on (i) the location or extent of each body part (facial and broad body features were better known; joints and features in or attached to broad body parts the least well known); (ii) the amount of sensory (but not motor) representation each body part has in the human cortex; and (iii) whether a body part was commonly named by caregivers. These results present a precise mapping of the body parts that young children are able to name and locate on their own bodies in response to body part names; they suggest several possible determinants of lexical‐semantic body knowledge and add to the understanding of how it develops in childhood.